

Does this patient need oral contrast?
Your patient is a healthy 25 year-old female presenting for evaluation of abdominal pain. Her pain started approximately 3 hours prior to presentation and since onset has only increased. She has associated nausea and vomiting but denies diarrhea/flatus. She is very slender but well-nourished in appearance, her abdomen is diffusely tender, most impressively in the right lower quadrant, and mildly distended. She has a normal cervix, no cervical motion tenderness, and an empty

Ortho Hors D'oeuvres (Answer):
To review, this is a 23 year-old male presenting with left wrist pain after fall onto outstretched hands. Questions and Answers: 1) What are the findings on the initial radiographs? In diagnosis of wrist pathology, adequate radiographs are necessary. In order to evaluate for radiograph adequacy, the following criteria must be met: On anterior radiographs, the three lines across the top and bottom of the carpal bones (lines of gilula) must be paralell and separated by 1-2 mm (


Ortho Hors D'oeuvres (Prompt):
Patient is a 23 year-old right-handed male presenting with left wrist pain. He was riding an electric scooter when went over a bump and landed on his bilateral, outstretched hands. On physical examination, he has tenderness in the wrist and his neurovascular examination is normal distally. Radiographs are below: Questions: 1) What are the findings on the initial radiographs? 2) What further steps should be taken in examination or imaging for appropriate diagnosis? 3) What is